[Joint Scandinavian follow-up is valuable for lumbosacral rhizotomy].
Explore the source record for details and available documents.
Cerebral Palsy↗
Biomedical subjects
A Lundberg
Publications and source records attributed to A Lundberg.
Characteristics of target-reaching in cats. I. Individual differences and intra-individual constancy.
Trajectory formation of unrestrained forelimb target-reaching was investigated in six cats. A Selspot-like recording system was used for three-dimensional recording of the position of the wrist every 3 ms with the aid of two cameras detecting infrared light emitted from diodes taped to the wrist. These measurements allowed reconstruction of movement paths in the horizontal and sagittal planes and velocity profiles in the direction of the cartesian x, y and z co-ordinates. Horizontal movement paths were smoothly curved, segmented or almost linear. Sagittal movement paths were sigmoid. The net velocity profile was usually bell-shaped with longer deceleration than acceleration, but for some slow movements the velocity profile had a plateau. When the net velocity profile was bell-shaped, the averaged sagittal movement paths and normalized x (protraction) and z (lifting) velocity profiles were virtually superimposable for fast and slow movements: thus, movement speed was changed by parallel scaling of protraction and lifting. Comparison of movement paths and velocity profiles amongst the different cats revealed considerable differences. The x profile was unimodal in one cat and double peaked in five cats: the second component was pronounced in two cats and small in the other three. The z profile was unimodal and, except for one cat, it had later onset and summit than the first component of the x profile. In contrast to the interindividual differences, there was a high degree of intraindividual constancy over 6-12 months. It is postulated that the interindividual variability depends on chance differences established early during learning of the task and that the imprinted pattern remains, resulting in intra-individual constancy.
Animals↗
Characteristics of target-reaching in cats. II. Reaching to targets at different locations.
Trajectory formation of unrestrained forelimb target-reaching was investigated in relation to the effect of a change in target location. Sagittal displacement of the target (6 cm in each direction) gave a selective change of velocity in the x direction (protraction) with an increase or decrease at larger and shorter distances, respectively. In the case of a double-peaked x velocity profile, the change was mainly with respect to the first major component. The shape of the y (sideways) and of the z (lifting) velocity profiles were both almost unchanged, but the onset of the movement in the z direction changed with the x distance. Vertical displacement (4 cm up or 5 cm down) gave increased velocity in the z direction (lifting) when the target was above the normal mid-position and decreased velocity when the target was lower. The velocity was changed with constant rate of rise, so that the rise time increased when the target was elevated and shortened when the target was lowered (pulse width control policy). The change in the z velocity was not selective. In cats with a double-peaked x velocity profile, the second component decreased when the target was elevated and increased when it was lowered. With excessive lowering of the target (14 cm down), the first x velocity component was very much reduced in amplitude so that protraction depended mainly on the second x velocity component. In the cat with a unimodal x velocity profile, a second component appeared in the x and net velocity profiles when the target was excessively lowered.(ABSTRACT TRUNCATED AT 250 WORDS)
Animals↗
Knee motion after tibial osteotomy for arthrosis. Kinematic analysis of 7 patients.
The in vivo kinematics of the knee in 7 patients with moderate medial gonarthrosis was analyzed before and 6 months after high tibial osteotomy using roentgen stereophotogrammetric analysis. The inclination of the femorotibial helical axis of rotation did not change with knee flexion or after surgery. The femorotibial rotation increased after surgery. No consistent change in patellar position after surgery was found. Patella translated laterally as the knee was flexed with a maximum patellar translation of about 15 mm and rotated internally with a maximum patellar internal rotation of about 15 degrees. There was no significant change in patellar translation or rotation after surgery. There was a good concordance regarding the size of the tibial wedge removed during surgery, calculated from the Hip-Knee-Ankle radiographs and from the roentgen stereophotogrammetric measurements.
Aged↗
Early mobilization of operated on ankle fractures. Prospective, controlled study of 40 bimalleolar cases.
40 patients with dislocated bimalleolar and trimalleolar ankle fractures took part in this randomized study. All ankles were operated on using cerclage, staples and pins. Active ankle movement with weight bearing in an orthosis was compared with active ankle movement without weight bearing using a dorsal splint. Stereophotogrammetric analysis showed small movements in the ankle mortise in both groups but conventional radiography revealed no fracture redislocation. The clinical results did not differ. This study was designed as the second part of a consecutive project. In the first part, early and late weight bearing in a cast without ankle movements was compared (Ahl et al. 1987b). In comparing the first and the second parts of the study, a small but significant increase in fracture instability was observed in the early motion group. No lasting superior clinical result was achieved by early ankle movement. After operation on dislocated bimalleolar ankle fractures, early postoperative weight bearing in a walking cast is recommended.
Adult↗
Subsidence of porous coated noncemented femoral components in total hip arthroplasty. A roentgen stereophotogrammetric analysis.
Roentgen stereophotogrammetric analysis was used in the evaluation of subsidence in nine noncemented femoral components of the Biomet Taperloc prosthesis. After 2 years three components had subsided 0.7-0.9 mm. No distinct symptoms related to the micromotion appeared. The subsidence in this investigation was smaller than the reported subsidence of other noncemented prostheses.
Adult↗
The effect of benzodiazepines on the fetus and the newborn.
The effect of the maternal use of benzodiazepines (BZD) on the fetus and the newborn infant has been studied in a representative series of 17 newborn infants (BZD group). The pregnancy and the perinatal period were characterized by 20 items. On the 2nd day of life, a neurologic investigation was performed and comprised a total of 38 items, subgrouped into items of reflexes/reactions, tonus, and other symptoms and signs. An optimum finding for each item was selected. The results were compared with a group of 21 newborns fetally exposed to psychotropic drugs other than BZD (drug group) and a reference group of 29 newborns with no known fetal exposure to drugs. Infants in the BZD group had a lower birth weight for birth length, as compared to both the drug group and the reference group. Significant differences in frequency of pre- and perinatal complications and in neuro-behavior between the BZD group and the reference group were found in all groups of items. We conclude that the use of BZD during pregnancy is associated with impaired intrauterine growth and an increased frequency of pre- and perinatal events. It affects the newborn infant neurologically mainly in the form of intoxication and withdrawal symptoms.
Abnormalities, Drug-Induced↗
Neurodevelopment in late infancy after prenatal exposure to benzodiazepines--a prospective study.
Growth and neurodevelopment at 6, 10 and 18 months of age have been studied prospectively and longitudinally in a series of 17 children born to mothers who used benzodiazepines (BZD) in therapeutic doses as their only psychotropic drug throughout pregnancy. The results were compared with a group of 29 children born to mothers without any known use of psychotropic drugs. The BZD-exposed children caught up their low mean birth-weight, at an early stage, whereas the slightly decreased head circumference at birth remained at the same low level. In five infants, a pattern of craniofacial anomalies was found. Deviating neurodevelopmental and clinical symptoms and signs were common. The gross motor development was retarded at 6 and 10 months, but was nearly normal at 18 months. Impaired fine motor functions were found on all follow-up occasions. At 18 months, the most prominent finding was a delayed development of pincer grasp. The BZD-exposed children showed deviations in muscle tone and pattern of movements more frequently than children in the reference group. The study suggests that the use of BZD in therapeutic doses throughout pregnancy can have negative effects on the development of children up to 18 months of age. The long-term hazards cannot be evaluated from these results. A further follow-up at early school age is needed and is in progress.
Abnormalities, Drug-Induced↗
Staging of soft-tissue sarcomas. Prognostic analysis of clinical and pathological features.
In a retrospective study of all 137 patients with soft-tissue sarcoma treated by surgery between 1972 and 1984, the clinical course was related to several host and tumour features, including the Surgical Staging System of Enneking, Spanier and Goodman (1980). Only patients free from metastasis with untreated primary lesions on admission were included. According to the Surgical Staging System, nine tumours were IA, 18 IB, 38 IIA and 72 IIB. Only 12 patients underwent amputation; 125 were treated by local surgery. The mean follow-up time was ten years (minimum five). For the whole series the probability of seven-year survival was 0.65; 42 patients (31%) died from tumour disease. All these had metastases and 24 also had local recurrence. The local recurrence rate was 36%. Multivariate analysis identified large tumour size and high histological grade as significant risk factors for metastatic disease and tumour-related death. Sex, age, tumour site, surgical margin and local recurrence showed no correlation with survival. The prognostic contribution of compartmentality was virtually nil. Histological grade combined with tumour size was found to give better prognostic information than that obtained by the Surgical Staging System.
Adult↗
Order and dynamics in mixtures of membrane glucolipids from Acholeplasma laidlawii studied by 2H NMR.
The two dominant glucolipids in Acholeplasma laidlawii, viz., 1,2-diacyl-3-O-(alpha-D-glucopyranosyl)-sn-glycerol (MGlcDG) and 1,2-diacyl-3-O-[alpha-D-glucopyranosyl-(1----2)-O-alpha-D-glucopyranosyl ]- sn-glycerol (DGlcDG), have markedly different phase behavior. MGlcDG has an ability to form nonlamellar phases, whereas DGlcDG only forms lamellar phases. For maintenance of a stable lipid bilayer, the polar headgroup composition in A. laidlawii is metabolically regulated in vivo, in response to changes in the growth conditions [Wieslander et al. (1980) Biochemistry 19, 3650; Lindblom et al. (1986) Biochemistry 25, 7502]. To investigate the mechanism behind the lipid regulation, we have here studied bilayers of mixtures of unsaturated MGlcDG and DGlcDG, containing a small fraction of biosynthetically incorporated perdeuterated palmitic acid, with 2H NMR. The order-parameter profile of the acyl chains and an apparent transverse spin relaxation rate (R2) were determined from dePaked quadrupole-echo spectra. The order of the acyl chains in DGlcDG-d31 increases upon addition of protonated MGlcDG, whereas the order of MGlcDG-d31 decreases when DGlcDG is added. The variation of order with lipid composition is rationalized from simple packing constraints. R2 increases linearly with the square of the order parameter (S2) up to S approximately 0.14; then, R2 goes through a maximum and decreases. The increase in R2 with S2, as well as the magnitude of R2, is largest for pure MGlcDG-d31, smallest for DGlcDG-d31, and similar for mixtures with the same molar ratio of MGlcDG/DGlcDG but with the deuterium label on different lipids.(ABSTRACT TRUNCATED AT 250 WORDS)
Acholeplasma laidlawii↗
[Grateful Med--a break-through for do-it-yourself searchers of Medline].
Explore the source record for details and available documents.
Databases, Bibliographic↗
The effect of a low pyramidal transection following previous transection of the dorsal column in cats.
In order to test the working hypothesis that motor deficits after low pyramidotomy may be due to transection of the cortico-cuneate pathway, a low pyramidotomy was made 2-4 months after a C2 dorsal column (DC) transection and tested on forelimb target-reaching and food-taking. Since food-taking recovered faster than after pyramidotomy alone, it is inferred that the loss of food-taking after pyramidotomy without previous DC transection is due mainly to transection of the cortico-cuneate pathway which controls transmission from forelimb Ia afferents to the motor cortex. The dysmetria and dyscoordination of target-reaching, on the other hand, was similar whether or not the low pyramidotomy was made after a previous C2 DC transection. It is tentatively suggested that dysmetria and dyscoordination of target-reaching after pyramidotomy may be due to transection of the pathway from the motor cortex which controls spinocerebellar transmission by its effect on the lateral reticular nucleus.
Animals↗
The pathway from Ia forelimb afferents to the motor cortex: a new hypothesis.
Forelimb target-reaching and food-taking in cats depend on different interneuronal circuitry in the spinal cord. On the basis of previous findings regarding the effect of transection of the corticospinal tract in the spinal cord, of high dorsal column (DC) transection, of low pyramidotomy and of pyramidotomy after previous DC transection, it is proposed that the food-taking movement is temporally linked to target-reaching as follows: During target-reaching, the position of the paw is signalled by the pathway from forelimb proprioceptors (mainly Ia) to the motor cortex with a relay in the main cuneate nucleus. The command for food-taking is issued by the motor cortex only when the pathway from the forelimb signals that the paw approaches the target correctly, as may be determined by a comparison of the information from the forelimb with an efference copy of the motor program for target-reaching. The hypothesis is based on previous results regarding the organization of the pathway from the forelimb to area 3a and the motor cortex, and regarding the cortico-cuneate pathway with selective projection from area 3a and motor cortex to the basal caudal part of the cuneate nucleus, where the proprioceptive information from the forelimb is relayed. Results relevant to the present hypothesis regarding responses of precentral neurones during active and passive movements in awake animals are briefly discussed.
Animals↗
Long-term sequelae after pediatric brain tumors: their effect on disability and quality of life.
In an unselected series of pediatric brain tumors, 56 of 60 long-term survivors--craniopharyngiomas and pituitary tumors excluded--were investigated and interviewed mean X = 10 (5-16) years after diagnosis. After this time, sequelae were stable and included cognitive (38%), motor (25%), visual (20%), hormonal (20%), and psychological-emotional (14%) dysfunction. Memory dysfunction was found in 22% of patients with normal intelligence. Moderate or severe disability, from combinations of these impairments, was found in 34%. Sixty-six percent had no or mild disability compatible with active life and employment. However, these patients less often were married or had children compared with a control group of healthy subjects. Moderate and severe disability was found in 48% of supra- and in 21% of infratentorial tumors, after radiotherapy (RT) in 55% vs. without RT in 18%. RT before 6 years of age caused subnormal IQ in all cases. The self-reported quality of life was not related to degree of disability. Patients with psychological-emotional sequelae self-evaluated their quality of life lower than did patients with other types of long-term sequelae.
Adolescent↗
Integration in descending motor pathways controlling the forelimb in the cat. 16. Visually guided switching of target-reaching.
A task has been developed to investigate the ability of cats to switch the direction of an ongoing target-reaching forelimb movement with the aid of a visual cue. The cats were standing in front of two horizontal tubes (internal diameter 30 mm; shoulder level) with food. The entrances of the tubes were closed with opaque trap doors but during illumination inside a tube its trap door was unlocked allowing the cat to retrieve food with the paw. When the cats had learnt to select the illuminated tube for insertion the next step was to switch the illumination to the other tube during ongoing target-reaching. Limb lifting was performed when the light was switched on in one of the tubes and time was measured from breaking electrical contact between the paw and the floor. After 25-75 ms, illumination was shifted to the other tube and the latency to the earliest change in movement trajectory was measured. The trajectory was recorded with the aid of cameras detecting the position of infrared light emitting diodes fixed to the dorsal part of the wrist. Every 3 ms the position was fed into a computer, and the movement trajectory (horizontal and sagittal planes) was displayed graphically. The velocities in the direction of cartesian coordinates x, y and z (protraction, adduction-abduction, lifting) were also computed. Single tube trials and switching trials from either tube were made in a random series. In order to switch, the cats used a combination of braking the protraction and a sideways movement. Initially there was often some retraction of the paw to avoid hitting the trap door of the first illuminated tube, but with more proficiency braking decreased and the movement path became smoothly curved. During braking of protraction there was also deceleration of lifting but not enough to maintain a constant movement path in the sagittal plane. In sessions with single tube trials, the movement paths in the horizontal plane were reasonably straight. In sessions with intermixed switching trials the single tube paths became segmented or curved, seemingly in order to facilitate switching. The mean switching latency in four cats ranged from 83 to 118 ms. In the fastest cat the switching latency ranged from 70-106 ms.(ABSTRACT TRUNCATED AT 400 WORDS)
Animals↗
The effect of low pyramidal lesions on forelimb movements in the cat.
Complete transection of the pyramid just rostral to the crossing gave defects in forelimb target-reaching and food-taking tested with retrieval of food from a cylinder. The most marked symptoms were dysmetria, dyscoordination of movement and almost total loss of the food-taking movement. Gradual recovery occurred, but even after 3-4 months the food-taking movement was deficient. The symptoms were less severe than those previously found after a high pyramidotomy but much more pronounced than those observed after complete transection of the corticospinal tract in the spinal cord. The motor defects after a low pyramidotomy closely resemble those found after a high dorsal column transection. It is tentatively proposed that the motor defects after low pyramidotomy are largely due to transection of corticocuneate fibers which regulate the feedback pathway from forelimb afferents to the motor cortex.
Animals↗
Kinematics of the ankle/foot complex: plantarflexion and dorsiflexion.
In an in vivo investigation of eight healthy volunteers, three dimensional ankle/foot kinematics were analyzed by roentgen stereophotogrammetry in 10 degrees steps of motion from 30 degrees of plantar flexion to 30 degrees of dorsiflexion of the foot. The study included all of the joints between the tibia and the first metatarsal, as well as the talocalcaneal joint, and was performed under full body load. Although the talocrural joint was found to account for most of the rotation around the transverse axis occurring from 30 degrees of plantar flexion to 30 degrees of dorsiflexion, there was a substantial contribution from the joints of the arch. This was seen particularly in the input arc from 30 degrees of plantar flexion to the neutral position, where the dorsiflexion motion of these joints amounted to 10% to 41% of the total transverse axis rotation.
Adult↗
Kinematics of the ankle/foot complex--Part 2: Pronation and supination.
The influence of pronation and supination of the foot on the joints of the ankle/foot complex was analyzed three dimensionally by roetgen stereophotogrammetry in eight healthy volunteers. Radiopaque markers were introduced into the tibia, talus, calcaneus, navicular, medial cuneiform, and first metatarsal bones. The subjects stood on a platform that was tilted in 10 degree-steps from 20 degrees of pronation to 20 degrees of supination. Pairs of x-ray exposure were made in each position. Calculation of resulting joint deviations from the neutral position showed that the largest amounts of motion occurred in the talonavicular joint followed by the talocalcaneal joint, in the latter case mainly in supination. The joints proximal and distal to the medial cunriform also participated substantially in the total motion registered. The tibia showed an average of 0.2 degrees of external rotation for each degree of supination of the foot.
Ankle Joint↗